Margaret is a 48-year-old female referred by her GP for an assessment and subsequent admission to the MH unit of the local hospital. She was admitted one week ago, accompanied by her partner. Her GP had been treating her for an anxiety disorder during the past 6 months. Margaret had recently become withdrawn and agitated after returning from a recent cruise. According to her partner the reported behaviours were new.
The time arrives from Margaret’s discharge. Her hospital case manager asked if you as the nurse unit manager, could attend the ward meeting to meet with Margaret to discuss possible discharge options. Margaret’s treating psychiatrist agrees that she is ready for discharge and will benefit from community mental health follow-up. It is the end of the week and ward staff are keen for an early discharge to prepare the unit for any week-end admissions.
You introduce yourself to Margaret and when you inform her of the discharge plan she becomes suspicious, hostile and abusive. She insists that she requires a longer period of hospitalisation because she is not feeling ready to face her home and other commitments.
You remain firm and empathetic and remind Margaret that she will be supported by a case manager from the mental health team (MHT) post discharge.
1) Using the scenario provided, write up your responses highlighting the issues (nursing and other) of concern in relation to this patient;
2) Discuss how you might respond to Margaret so as to initiate a collaborative relationship;
3) What information do you need from Margaret about her family and work commitments that might assist with her successful transition into the community;
4) Explain and justify how this information would facilitate a successful transition into the community.
Referencing must comply with CDU APA 6th Ed Referencing Style. Advice on this is available from the CDU Library website
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